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House Passes Medicare Physician Payment Reform Act Advocacy groups applaud passage of bill that would permanently repeal and replace SGR.

Scientists Find Unusual Immune System Activity in Brains of Schizophrenics The "germ theory" of schizophrenia got a mild boost this week as scientists discover that recently afflicted schizophrenics show higher levels of inflammatory proteins in the brain.

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Clinical PET-MRI Moves Closer to Reality Thanks to a European grant for the HyperIMAGE project, a consortium of scientists across Europe have worked with Philips to develop a proof-of-concept, pre-clinical combined MR-PET scanner that could one day lead to improved radiation therapy and cardiology treatments.

Senate Health Care Reform Bill Unveiled Legislation may go to cloture vote this weekend. Read the details.

RSNA 2009 Preview This year's RSNA should provide a very interesting look at the effects of the economy on the major OEMs. As always, vendors are whipping up the hoopla, and inside this story are great previews of what's being debuted. But DOTmed reporters will also be there to get the real buzz. Look for video interviews in our Online News direct from the show.

Interview With Fred Robertson, President & CEO of TomoTherapy TomoTherapy president and CEO Fred Robertson talks with DOTmed about his perspective on ASTRO's 2009 annual meeting, changes in the radiation oncology industry and two important TomoTherapy product launches that occurred at the show. Watch the HD video.

Pen-Sized Microscope Aims for Precise Brain Surgeries A confocal microscope picking up brain-safe fluorescent dyes could result in more accurate and streamlined surgeries to remove tumors from the brain.

Health Care Reform Round-Up: CBO Pegs Senate Bill at $849 Billion The numbers are in on the Senate's version of reform. Also read about the wide-ranging impact that the legislation would have.

U.S. Preventive Services Task Force Has Stunning New Guidelines on Mammography Agency recommends no routine screening for women 40-49, no self-examination. Read the details.

California Healthcare
Institute (CHI)

CHI Congratulates Congressional Election Winners

by Joan Trombetti, Writer
CHI congratulated members of the state's congressional delegation for their election victories and committed to work as partners to improve healthcare, promote medical innovation, and strengthen our economy.

California is the worldwide leader in biomedical R&D, with more than 2,700 biomedical companies and research institutions advancing scientific knowledge and developing new tools, technologies and treatments for serious ailments such as cancer, diabetes, and HIV/AIDS, chronic pain, and cardiovascular, respiratory and infectious diseases. California's life sciences industry is also an important engine of economic growth, employing some 270,000 workers statewide, and leading the nation in terms of both venture capital investment ($3.2 billion) and National Institutes of Health (NIH) research funding ($3.16 billion).

Concerns facing the industry, though, include:

Science funding -- After doubling the NIH budget between 1998 and 2003, federal support for biomedical research has weakened. In fact, current funding has fallen below the rate of inflation, resulting in a net decrease. The consequences are less research and fewer researchers pursuing the next generation of medical breakthroughs. Advances in basic research into the biology of disease enable the biomedical industry to apply new discoveries to the development of new medical therapies. At a time when U.S. leadership in global innovation faces serious threats, Congress must reverse this slide and provide more funding for basic biomedical research, including stem cell science.

Patent Rights -- Attracting investment into companies developing the next generation of medicines and technologies depends on a strong, reliable patent system. Thus, protection of patent rights is a top priority for California's biomedical industry leaders, small life sciences companies that rely on venture capital, and research universities. Proposals to undermine patent quality and certainty, such as through mandatory apportionment of damages, open-ended post-grant challenges, or failure to address inequitable conduct, would hinder biomedical research and innovation in California by reducing incentives for investment in R&D and drying up venture capital.

Biosimilars -- While focused on the development of the next generation of innovative medicines, we understand that the increasing cost of health care is a growing burden for private-sector and government budgets. In the long term, follow-on biologics may offer savings within the U.S. healthcare system. Considering the complexity of biotech development and manufacturing, it is possible for the FDA to develop a successful, science-based approval pathway for biosimilars. This pathway must include high safety and efficacy standards along with incentives necessary to encourage future biotechnology investment and innovation.

Preemption -- The FDA employs scientific experts charged with reviewing very complex medical device applications. The proposed elimination of medical device preemption would undermine the FDA by allowing lay juries in 50 states to weigh an individual plaintiff's claim, to second-guess the agency's expert scientific analysis regarding a device's safety and effectiveness. Subjecting device manufacturers to conflicting state-law obligations would generate widespread regulatory confusion and discourage investment and research into potentially life-saving devices while providing no real safety benefits for the public.
Since 1993, CHI has worked with policymakers in Washington and Sacramento to identify and advocate for policies to advance biomedical research, promote innovation and job creation, and improve public health. As the 111th Congress convenes, we look forward to working with policymakers to tackle the issues above, as well as other important policies such as permanently extending the R&D tax credit, ensuring comparative effectiveness research is appropriately applied, addressing disparities in our healthcare delivery system, improving science and math education, and modernizing the Medicare system to recognize advances in healthcare made possible by diagnostics and remote monitoring technologies.

CHI represents more than 250 leading biotechnology, medical device, diagnostics, and pharmaceutical companies, and public and private academic biomedical research organizations. CHI's mission is to advance responsible public policies that foster medical innovation and promote scientific discovery.

CHI is a non-profit public policy research organization, representing leading California academic institutions, biotechnology, medical device, diagnostics and pharmaceutical firms.

CHI's Web site is www.chi.org.

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